| NPI | 1598192536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOSEPHSON Behavioral Health Supervisor 407-317-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11027) |
| Enumeration Date | 2013-10-05 |
| Last Update Date | 2013-10-05 |